Characterization of pregnant patients with mitral valvulopathy

Objective: To determinate the clinical and epidemiological characteristics of pregnant patients with mitral valvulopathy in a medical institution in the city of Medellin from 2005 to 2011. Methods: Descriptive retrospective transversal study. All pregnant patients with mitral valvulopathy who were treated at the hospital institution and who fulfilled the inclusion criteria were evaluated. The analysis has done in the SPSS 21; the measures of central tendency and dispersion were used as quantitative variables; for the qualitative variables, absolute frequencies, proportions and ratios were estimated. Results: 17 pregnant patients with mitral valvulopathy were included, whose median age was 26 years old; 52.9[%] had a previous diagnosis of valvular disease and in 25.5[%] was diagnosed in the first trimester of pregnancy. The prosthetic mitral valvular was required by 47.1[%] of the women, the majority implanted prior to pregnancy. Regarding the established diagnoses, 35.3[%] of the women presented valvular insufficiency, followed by valvular stenosis at 17.6[%]. Regarding the use of drugs, 29.4[%] used enoxaparin, while 59[%] of the patients did not report the use of anticoagulants. A relative frequency of 5.9[%] was found due to complications of atrial fibrillation. Conclusion: in women with a previous or later diagnosis of valvulopathy, it was observed that a good prenatal care allowed that most of these pregnancies came to term without complications.